Old Fractured Nose Surgery

Overview of the surgery:

Old Fractured Nose is a break or crack in a bone in your nose, often the bone over the bridge of your nose from severe accident which can cause serious breathing problems and crooked appearance that you might probably consider rhinoplasty. This is the procedure that surgeons most often make use of in order to fix patient’s nose and restore it to its former appearance. If you are unhappy of the results after the surgery, you can go for a revision rhinoplasty, where the surgeon can rectify the work done on your nose previously to have it restored to how it was originally was.

An incision through the outer nose is rarely required, since access can be gained through the nostrils. However, the septum will be incised to begin the reshaping process. The septum is straightened through partial removal or readjustment of the affected bone and cartilage. Cartilage will be incised, shaved, or sliced to make the septum lie in the middle of the nasal vault. Sometimes the cartilage in a malformed septum is altered until it is sufficiently weakened, and then the septum is built up again with autologous cartilage from another site in the individual's body. Bone is removed rather than shaped. The goal is always to correct the deformity while supporting the nose structure. In some cases, septoplasty will be done at the same time as reshaping of the outer nose (rhinoplasty).

Duration of the surgery:

The procedure usually takes around 1 hour or depending on the extent of correction.

Post operative care:

You need to get adequate rest in order to recover. A plastic splint molded to your nose will help maintain alignment.  Your air passage maybe temporarily blocked with gauze to control the bleeding.   The frames of glasses must be avoided to rest on the bridge of the nose for three weeks.

Recovery Period:

You should avoid blowing your nose altogether for the first 10 days. If there is swelling, cold showers can help reduce it to a certain degree. During this time, you will refrain from any strenuous activities as well as sneezing.

Possible risk and complications:

Infection is rare, but if it occurs it can cause significant problems. Lacerations cause scars. External scars sometimes need surgical revision. Internal nasal scars and deformities can increase your chance of nose bleeds. Damage to nerves can result in altered, diminished, or painful sensation or poor muscle function (paralysis). Injuries may obstruct the small holes that drain your sinuses. Pressure in sinuses can result in painful headaches.

Anesthesia use:

The procedure is performed with local, IV sedation or general anesthesia.

Hospital admission:

It depends on your preferences as well as your surgeon’s. Old fractured nose can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite.

Preparation before Surgery:

• Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
• Blood and urine samples will be collected for routine preoperative laboratory tests. X-rays may be taken to evaluate the individual's bone structure.
• Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
• You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
• Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

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